Medicare Part C, or Medicare Advantage, is a program that offers an alternative way to receive your Original Medicare benefits (Part A and Part B). Different than MEDIGAP !
Medicare Advantage plans are available from private insurance companies that contract with Medicare. They’re required to cover everything that Original Medicare (Part A and Part B) does, except for hospice care, which Medicare Part A covers when you have a Medicare Advantage plan. Under the Medicare Part C program, you get your Original Medicare coverage through the Medicare Advantage plan instead of directly through Medicare.
If you sign up for Medicare Advantage, you aren’t leaving the federal Medicare program. You actually remain enrolled in Part A and Part B Many Medicare Advantage plans include extra benefits as well, such as wellness programs.. Most of them include prescription drug coverage.
In many cases, Medicare Advantage plans (such as Health Maintenance Organizations, or HMOs) include networks of clinics, doctors, and hospitals. If you belong to one of these plans, then you may need to seek treatment from providers within that network, or risk paying considerably more in out-of-pocket spending.
There are many options, although not every plan type may be available in your area. You may want to compare the available options, as each plan’s coverage details may differ. Consider all your current health-care needs before making a decision, such as whether you need prescription drug coverage. You may also wish to consult your doctor and other health-care providers to see what they recommend in terms of your coverage scope.
What Medicare Advantage plans are available?
Here are some brief descriptions of common types of Medicare Advantage plans. Each of these is available from private insurance companies that contract with Medicare. Availability and cost may vary by plan and service area.
Medicare Part C Preferred Provider Organization (PPO)–A network of doctors, clinics, hospitals, and other health-care providers. With this type of plan, you don’t have to choose a primary care physician up front to coordinate your care. Instead, you can see any doctor or specialist who accepts Medicare assignment. If you go to providers outside your PPO network, your out-of-pocket costs may increase.
Medicare Part C Health Maintenance Organization (HMO)–A type of plan in which you choose a primary care physician who will coordinate your care and refer you to any specialists you have to see. An HMO typically has a network of health-care professionals, and going outside of that network could require you to pay the full amount for any services.
Medicare Part C Private Fee-for-Service (PFFS)–A type of Medicare Advantage plan in which the plan, not Medicare, sets payment terms. Some plans cover your visits to any doctor or specialist without worrying about network restrictions if the doctor or health-care provider accepts the plan’s terms, fees, and conditions. Other PFFS plans have provider networks.
<h4><a href='http://incline.media/MEDIGAP/Medicare-Part-C-Covers/770'>Medicare Part C Covers</a></h4><iframe class='mediaserv_video' src='//embed.mediaserv.solutions/?storagenode=3&filename=SOUZ1BArF8mOkncCOzSlsOScRn3toCdNa99fmdXxvLfDHY32AzEuJixvohBOIEzkTcwPCEc1Ga3Gr9lmPCs5sUIbncDRz2WCwFasyGvExVXr5388Eejg3FKRxuedHyaJeS3A391pNPu07mleOu3iuU.mp4&logo=http://incline.media/user_upload/profileImages/Medigap-z7iYBNvu0c.jpeg&logo_href=http://incline.media/MEDIGAP' frameborder='0' allowfullscreen='true'></iframe><br /><span style='font-size: 10px;'>By <a href='http://incline.media/MEDIGAP'>MEDIGAP</a> on <a href='http://incline.media'>Incline</a></span>